Objectives – There is the difference in hearing improvement when allografts and autografts are used in ossiculoplasty, so this study was done to evaluate and compare the outcome of these two methods in CSOM patients. Methods – This study was conducted on 20 patients of chronic suppurative otitis media visiting ENT OPD at PBM Hospital, Bikaner. Different types of grafts used for Ossiculoplasty and the patients were divided into two equal groups A (Autograft in ICW) and E (TORP in ICW) of 10 each. Postoperatively patients were followed up for hearing improvement at 3 weeks, 6 weeks, 12 weeks and 24 weeks. Results– After 6 weeks post operative follow–up AC improved by 29.89 % in Group A and by 45.54 % in Group E. After 12 weeks and 24 weeks post operative follow–up, AC improved by 34.02 % in Group A and by 55.44 % in Group E. After 6 weeks post operative follow–up ABG improved by 38.89 % in Group A and by 57.53 % in Group E. After 12 weeks and 24 weeks post operative follow–up ABG improved by 43.05 % in Group A and by 68.49 % in Group E. Conclusion – The improvement in hearing following surgery was significant in all groups of patients 24 weeks after surgery. In our study (n=10 in each group) the groups with allograft had a obvious improved hearing outcome as compared to the groups with the autograft but it was not found to be statistically significant.